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Know Your Number

KNOW YOUR NUMBER was an information campaign to increase the public’s awareness about the hemoglobin A_1c (A1C) test several years ago. Today, there is confusion about what that number should be. According to the American Diabetes Association, the goal should be 7% or less.¹ A panel from the American Association of Clinical Endocrinologists says it should be 6.5% or less.² So what is THE NUMBER today?

I initially became aware of this discrepancy in recommendations as I attended national diabetes meetings where diabetes care professionals were asking "What do we tell patients?" Then, my patients began to ask about their A1C goal after receiving educational materials from pharmaceutical companies noting the goal of 6.5% or less. The question most often came from patients with type 1 diabetes on insulin pumps or multiple daily injections, who know the challenge of achieving and maintaining an A1C result less than 7%, let alone less than 6.5%.

The United Kingdom Prospective Diabetes Study (UKPDS) and the Diabetes Control and Complications Trial (DCCT) confirmed that the lower the A1C, the lower the risk of complications.^3,4 But we also know from the DCCT/Epidemiology of Diabetes Interventions and Complications (EDIC) . . . [Full Text of this Article]

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